Application of early postoperative activity on postoperative rehabilitation of patients with liver cancer undergoing liver resection

Abstract

Objective To investigate the application effect of early postoperative activity on postoperative rehabilitation of patients with liver cancer undergoing liver resection. Methods A total of 100 liver cancer patients, having undergone liver resection in Hunan Provincial People's Hospital from January 2015 to May 2016, were divided according to random number table into observation group, with 52 cases and control group, with 48 cases. Patients in the control group were treated by conventional postoperative activity program, while patients in the observation group received early postoperative activity program. Recovery time of bowel sound, time to get out of bed, the first time of flatus, of defecation, and postoperative complications of the two groups were compared. The activity of daily living scale (ADL) was used to compare self-care ability of patients in the two groups. Results In the observation group, recovery time of bowel sound was (55.26±2.63) h, time to get out of bed was (64.43±3.37) h, the first time of flatus was (73.78±3.10) h, and the first time of defecation was (123.43±6.46) h, all shorter than that in the control group (t=4.81, 3.16, 3.57, 2.59; P 0.05) ; it was shown in variance analysis of repeated measures that before and after the intervention, at different time points, ADL differences of all the patients were statistically significant (FTime=1598.85, P<0.05) , ADL differences between the two groups were statistically significant (FInter-group=40.01, P<0.05) , and interaction existed among measurement and intervention (FInteraction=21.62, P<0.05) . Conclusions Early postoperative activity was safe and effective to patients having undergone open hepatic resection, which can accelerate recovery of gastrointestinal function and help patients recover their self-care ability. Key words: Liver neoplasms; Hepatectomy; Gastrointestinal motility; Activities of daily living; Enhanced recovery after surgery